Provider Demographics
NPI:1750431086
Name:WATERVILLE CENTRAL SCHOOL
Entity type:Organization
Organization Name:WATERVILLE CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:VANWORMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-841-3910
Mailing Address - Street 1:381 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13480-1115
Mailing Address - Country:US
Mailing Address - Phone:315-841-3900
Mailing Address - Fax:315-841-3939
Practice Address - Street 1:381 MADISON ST
Practice Address - Street 2:
Practice Address - City:WATERVILLE
Practice Address - State:NY
Practice Address - Zip Code:13480-1115
Practice Address - Country:US
Practice Address - Phone:315-841-3900
Practice Address - Fax:315-841-3939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)